| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,172 |
266 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
473 |
232 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
364 |
268 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
101 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
424 |
264 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
77 |
37 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
27 |
$700.80 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$633.09 |
| 90677 |
|
136 |
96 |
$533.26 |
| 90648 |
|
140 |
107 |
$40.86 |
| 90680 |
|
126 |
92 |
$0.00 |
| 3008F |
|
473 |
397 |
$0.00 |
| 90723 |
|
126 |
91 |
$0.00 |
| 96161 |
|
93 |
69 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| 36416 |
|
49 |
15 |
$0.00 |
| 1159F |
|
110 |
98 |
$0.00 |
| 3078F |
|
14 |
13 |
$0.00 |
| 90461 |
|
218 |
140 |
$0.00 |